| NPI | 1629748421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MI 6401009621) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-06-11 |